PDF(Pubmed)
Abstract：
In healthcare professions, soft skills contribute to critical thinking, decision-making, and patient-centered care. While important to the delivery of high-quality medical care, soft skills are often underemphasized during healthcare training in low-and-middle-income countries. Despite South Asia\'s large population, the efficacy and viability of a digital soft skills curriculum for South Asian healthcare practitioners has not been studied to date. We hypothesized that a web-based, multilingual, soft skills course could aid the understanding and application of soft skills to improve healthcare practitioner knowledge, confidence, attitudes, and intent-to-change clinical practice.In September 2019 a needs assessment observing soft skills practices was conducted in several Indian states. We developed a communication-focused soft skills curriculum that comprised seven 10-minute video lectures, recorded in spoken English and Hindi. Participants consisted of any practicing healthcare professionals and trainees in select South Asian countries age 18 and over. Participant knowledge, confidence, attitudes, and intent-to-change clinical practice were evaluated using pre- and post-course tests and surveys. Statistical analyses were performed using STATA and SPSS.From July 26, 2021 to September 26, 2021, 5750 registered and attempted the course, 2628 unique participants completed the pre-test, and 1566 unique participants completed the post-test. Participants demonstrated small but statistically significant gains in confidence (𝑝<0.001), attitudes toward course topics relevance (𝑝<0.001), and intent-to-change clinical practice (𝑝<0.001). There was no statistically significant gain in knowledge. A digital soft-skills massive open online course for healthcare practitioners in South Asia could serve as a viable approach to improve the quality of soft skills training in low-to-middle income countries.
摘要：
在医疗保健行业，软技能有助于批判性思维，决策,和以病人为中心的护理。虽然对提供高质量的医疗服务很重要，在中低收入国家，在医疗保健培训期间，软技能往往被低估。尽管南亚人口众多，迄今为止，尚未对南亚医疗保健从业人员的数字软技能课程的有效性和可行性进行研究。我们假设一个基于网络的，多语言,软技能课程可以帮助软技能的理解和应用，以提高医疗从业者的知识，信心,态度，和改变临床实践的意图。2019年9月，在印度几个州进行了一项需求评估，观察软技能实践。我们开发了一个以沟通为重点的软技能课程，包括七个10分钟的视频讲座，用英语口语和印地语记录。参与者包括18岁及以上的南亚特定国家的任何执业医疗保健专业人员和学员。参与者的知识,信心,态度，并使用术前和术后测试和调查对改变临床实践的意图进行了评估.使用STATA和SPSS进行统计分析。从2021年7月26日至2021年9月26日，5750注册并尝试了该课程，2628名独特参与者完成了预测试，1566名独立参与者完成了测试后。参与者在信心方面表现出很小但有统计学意义的提升(?<0.001)，对课程主题相关性的态度(?<0.001)，和改变临床实践的意图（？<0.001）。知识没有统计学上的显着增长。针对南亚医疗保健从业人员的数字软技能大规模开放在线课程可以作为提高中低收入国家软技能培训质量的可行方法。
